Fracture of the proximal pole of the bipartite carpal scaphoid: a probable Holt-Oram-like syndrome.
Bipartite scaphoid has been debated, and is of a traumatic origin for some authors and congenital for others. The aim of study is to distinguish clinical, radiographic and MR criteria for the diagnosis of congenital bipartite scaphoid. I describe a case of a patient with bilateral bipartite scaphoid admitted at my clinic following a traumatic accident which produced a fracture of the proximal pole of the right carpal scaphoid. The patient had a history of bipartite scaphoid. In conclusion, I believe that congenital origin is more probable and this rare pathology is a sporadic form of Holt-Oram-like syndrome.
Saccomanni
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Orthopaedic and Traumatologic Surgery, Gabriele D'Annunzio University, Via dei Vestini, 66013 Chieti Scalo, Italy. bernasacco@yahoo.it